| NPI | 1639558109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557347) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-105119-021) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2016-08-05 |